IVAN THOMAS

PINE BLUFF, AR
NPI1497180947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-09-03
Last Update Date2013-09-03
Business Address
-- IVAN THOMAS
620 S LAUREL ST
PINE BLUFF, AR 71601-4859
Phone number: 870-534-4900
Mailing Address
-- IVAN THOMAS
620 S LAUREL ST
PINE BLUFF, AR 71601-4859
Phone number: 870-534-4900
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